I have skin infection near my vagina area where my things ends its it appears red and little whitish its painful

Professional Assessment: Given the described symptoms of redness, whitish appearance, and pain in the vulvar/inguinal region, the primary differential diagnoses include candidal vulvovaginitis, contact dermatitis, intertrigo, or folliculitis - with candidiasis being most likely in a 21-year-old female. The pathophysiological mechanism likely involves disruption of the normal skin barrier and microbiome, potentially exacerbated by moisture, friction, and heat in the inguinal area, creating an environment conducive to fungal or bacterial overgrowth. Risk factors specific to young adult females include tight clothing, synthetic underwear materials, hormonal contraceptive use, and recent antibiotic therapy. Further evaluation should include detailed examination of the affected area, fungal culture if indicated, and assessment for any underlying conditions that may predispose to recurrent infections, such as diabetes or immunosuppression.

Apply over-the-counter clotrimazole or miconazole cream to the affected area 2-3 times daily for 7 days, as this appears to be a yeast infection (candidiasis). Keep the area clean and dry, wear loose cotton underwear, and avoid tight clothing to prevent moisture buildup. Take a warm bath with unscented Epsom salt daily and pat the area completely dry afterward, then apply the antifungal cream. For additional treatment recommendations, ask in the chat.